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Organization

UNIVERSITY OF MARYLAND PEDIATRIC ASSOCIATES, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARGIE OLLER BURR (DIRECTOR OF PROFESSIONAL FEES)
(410) 706-5181
Entity
Organization

Contact information

Practice address
305 HOSPITAL DR, GLEN BURNIE, MD 21061-5805
(410) 553-8510
(410) 328-5484
Mailing address
PO BOX 62063, BALTIMORE, MD 21264-2063
(410) 706-5181
(410) 706-5103

Taxonomy

Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
208000000X
Pediatrics Physician
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
11/27/2024
Last updated
02/24/2025
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